Gwendolyn J Stewart, DNP, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP118552 Issued in TX

Practice address

411 N Washington Ave Ste 6000
Dallas, TX 75246-1789

Phone

(214) 358-2300

Fax

(214) 579-6988

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

LTHC Solutions LLCGroup PAC ID 4385949254, 11 clinicians

Long Term Health Careline CorpGroup PAC ID 2264882950, 10 clinicians

Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: gstewart52413@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dallas Nephrology Associates

  • Nephrology Physician
  • Dallas, TX
  • NPI 1861440109
  Medicare reassignment Care Compare group NPD
• Long Term Health Careline Corp

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1588378830
  Medicare reassignment Care Compare group NPD
• LTHC Solutions LLC

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1194182543
  Medicare reassignment Care Compare group NPD
• Dallas Nephrology Associates

  dba Dallas Nephrology Associates Vascular Center Dallas

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
  • NPI 1053634030
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1043442254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE STE 6000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461789",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Lbj Fwy Ste 700",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752346065",
            "country_code": "US",
            "telephone_number": "214-358-2300",
            "fax_number": "214-366-6159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2651 Bolton Boone Dr",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751152011",
            "country_code": "US",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "GWENDOLYN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118552",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP118552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "AP118552",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Stewart, LPC, RPT
• Chase Z. Stewart, DPT
• Cherokee Moon Stewart, HEARING DISPENSER
• Diane M Stewart, LMT
• Ellen Stewart, DDS
• Jada Danielle Stewart, CRNA
• James Eugene Stewart Jr., RDN
• Jennifer Ashley Stewart, PA-C
• Jerome Stewart, LPTA
• Jesse Wade Stewart, M.D.

• Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.